Individual
AMANDA RAQUEL RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
51975 LOST ELK LN, CHARLO, MT 59824-9391
(980) 202-9773
Mailing address
54360 HILLSIDE ROAD, SAINT IGNATIUS, MT 59865
(980) 202-9773
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10946
MT
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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